Category Archives: Uncategorized

Drugs Drugs Glorious Drugs…but what about in CKD Patients? (Part 1)

Knowing what to prescribe in kidney patients can frighten most doctors! Once you understand the principles and know how and where to look things up then it’s easy!! As a renal registrar, prescribing is one of our main reasons to be called….Here we will summarise the drugs that we most often get asked about withContinue reading “Drugs Drugs Glorious Drugs…but what about in CKD Patients? (Part 1)”

The Unwell Haemodialysis Patient – what do I do? Help…!! (Part 1)

Roughly 30 000 people are receiving haemodialysis (HD) in the UK and 300 people per million population require maintenance HD for end stage kidney disease [1]. Although HD prevents death from renal failure it’s not an infallible treatment….survival after 1 year of HD is about 88% and this drops to about 57% at 3 yearsContinue reading “The Unwell Haemodialysis Patient – what do I do? Help…!! (Part 1)”

P P P Peritoneal Dialysis Patient??…Gulp!…Top Tips!

CKD is becoming more and more common…as is acceptance of patients to receive renal replacement therapy (RRT). The three types of RRT are Haemodialysis, Peritoneal Dialysis (PD) and Renal Transplantation. Peritoneal Dialysis can seem to be a bit daunting as it’s not as commonly seen outside of renal units, however these patients will get illContinue reading “P P P Peritoneal Dialysis Patient??…Gulp!…Top Tips!”

Hyperkalaemiaaaarrrrrgggghhhh!!!

Every junior doctor’s nightmare is the patient with high potassium (K+)! Many calls to the renal registrar occur after a patient has received various numbers of insulin-dextrose infusions and I can guarantee the reason a patient has hyperkalaemia can be quickly identified and fixed. Management of high K+ is believe it or not very straightforward butContinue reading “Hyperkalaemiaaaarrrrrgggghhhh!!!”